Patients' drawings illustrate psychological and functional status in heart failure

Reynolds, Lisa; Broadbent, Elizabeth; Ellis, Chris; Gamble, Greg; Petrie, Keith J.

doi:10.1016/j.jpsychores.2007.03.007

Cited by 53 publications

(61 citation statements)

References 32 publications

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“…In the hysterectomy group, the score dropped from 5.9 to 2.6. These results are consistent with results from other drawing studies in that the size of the drawn organs is reduced after the upsetting event has taken place [21,[29][30][31][32][33]. The intraclass correlation coefficient between G. S. and L. R. on Drawing 1 and Drawing 2 was 0.82 and 0.66, respectively.…”

Section: Drawings (Figure 3)supporting

confidence: 91%

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Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Stralen

Ruijten

Kaptein

et al. 2017

Journal of Psychosomatic Obstetrics & Gynecology

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Introduction: A description is given of the quality of life (QOL) of women who were treated with peripartum embolization or hysterectomy for major obstetric hemorrhage (MOH). Methods: Questionnaires assessing QOL, combined with questionnaires and drawings assessing illness perceptions, were used to compare women with MOH to reference groups provided by the questionnaires. Results: Women who experienced MOH have similar scores on QOL questionnaires compared to reference groups. Women treated with arterial embolization scored better than women treated with hysterectomy. Partners of women with MOH scored better on QOL questionnaires than reference groups. Drawings reflect the major emotional impact of MOH. Discussion: MOH does not seem to have a negative effect on QOL 6-8 years after the event, although drawings and verbalizations indicate major emotional impact. More extensive follow-up is advised for early recognition of the need for psychological help. Women after embolization seem to have better QOL compared to women after hysterectomy.

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Section: Drawings (Figure 3)supporting

confidence: 91%

“…A relatively new method to assess illness perceptions is through patients' drawings of affected organ(s) [21,[28][29][30][31][32][33]. It has the advantage of circumventing possible social desirability issues and provides a unique and value free illustration of a person's illness perceptions [31].…”

Section: Drawingsmentioning

confidence: 99%

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Stralen

Ruijten

Kaptein

et al. 2017

Journal of Psychosomatic Obstetrics & Gynecology

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“…Several studies have demonstrated an increased prevalence of psychopathology, cognitive dysfunction and personality changes both in patients with active acromegaly (4,5,6,7) as well as those in remission (8). In addition, patients with acromegaly have a negative self-perception based on the drawing test (9), a novel technique that can illustrate their notions in a more concrete and specific way than questionnaires or structured interviews limited by operating along predefined dimensions (10,11). The drawings can also be useful in identifying idiosyncratic beliefs, which can play a critical role in illness perceptions, medication adherence, self-management skills and quality of life (QoL) (12).…”

Section: Introductionmentioning

confidence: 99%

Morphometric changes correlate with poor psychological outcomes in patients with acromegaly

Imran

Tiemensma

Kaiser

et al. 2016

European Journal of Endocrinology

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Objective: Acromegaly is frequently associated with altered facial appearance at the time of diagnosis. Furthermore, acromegaly is also associated with adverse psychological outcomes. We conducted a single-centre, cross-sectional study comparing patients with growth hormone vs non-functioning pituitary adenomas (NFA) to assess the association between morphometric changes and psychological outcomes and illness perception of patients with acromegaly. Methods: A seven-step scale was developed to grade morphometric changes based on facial photographs. In addition, all patients were asked to draw an image of their own body and an image of what they considered to be an average healthy body and complete seven psychological questionnaires. We recruited 55 consecutive patients in each of the two groups who had undergone surgery with or without radiation therapy (RT). Results: Our data showed that the clinician-rated morphometric scale was highly reliable in assessing facial changes, with 93/99 (Intraclass correlation coefficient (ICC)Z0.95 (0.93-0.97)) graded as similar by independent raters. The mean (S.D.) grading for Acro and NFA patients on the clinician-rated morphometric scale were 3.5 (1.3) and 0.41 (0.35) respectively (P!0.0001). A higher clinician-rated morphometric score was also predictive of a poorer score on the drawing test. Conclusions: Our study demonstrates a correlation between physical changes associated with acromegaly and poor psychological outcomes, whereas no such correlation existed with modes of therapy, disease control status, RT, malignancy, initial or recent GH/IGF1 or secondary hormonal deficiency. Our data support the utility of the morphometric scale as a clinical tool for grading facial changes.

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“…In the drawing test, patients are asked to draw their body during the various stages of their condition retrospectively: i) before disease, ii) during the active state of disease, and iii) currently after treatment. It is presumed that drawings can illustrate patients' notions in a more uncensored, concrete, and specific way than words (i.e., questionnaires or structured interviews) (8,9). Furthermore, it is believed that drawings can play an important role in identifying idiosyncratic beliefs that are crucial for medication adherence, self-management behavior, and QoL (10).…”

Section: Introductionmentioning

confidence: 99%

Persistent negative illness perceptions despite long-term biochemical control of acromegaly: novel application of the drawing test

Tiemensma¹,

Pereira²,

Romijn³

et al. 2015

European Journal of Endocrinology

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Context and objective: Patients with acromegaly have persistent complaints despite long-term biochemical control. Drawings can be used to assess patients' perceptions about their disease. We aimed to explore the utility of the drawing test and its relation to illness perceptions and quality of life (QoL) in patients after long-term remission of acromegaly. Design: A cross-sectional study was conducted to evaluate the utility of the drawing test. Methods: A total of 50 patients after long-term remission (meanGS.E.M., 16G1.2 years) of acromegaly were included in this study. Patients completed the drawing test (two retrospective drawings of their body perception before acromegaly and during the active phase of acromegaly, and one drawing on the current condition after long-term remission), Illness Perception Questionnaire-Revised, Physical Symptom Checklist, EuroQoL-5D, and AcroQoL. Results: Patients perceived a dramatic change in body size during the active state of the disease compared with the healthy state before the awareness of acromegaly. Patients reported that their body did not completely return to the original proportions after long-term remission. In addition, larger drawings indicated more negative consequences (P!0.05), a higher score on emotional representations (P!0.05), and more perceived symptoms that were attributed to acromegaly (P!0.01). Larger drawings also indicated more impaired QoL, especially disease-specific QoL (all P!0.05). Conclusion: There are strong correlations among the drawing test, illness perceptions, and QoL. The drawing test appears to be a novel and relatively easy tool to assess the perception of patients after long-term remission of acromegaly. The assessment of drawings may enable health care providers to appreciate the perceptions of patients with long-term remission of acromegaly, and enable discussion of symptoms and remission.

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Patients' drawings illustrate psychological and functional status in heart failure

Cited by 53 publications

References 32 publications

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Morphometric changes correlate with poor psychological outcomes in patients with acromegaly

Persistent negative illness perceptions despite long-term biochemical control of acromegaly: novel application of the drawing test

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